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General NPI Number Information
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NPI Number | 1003289372
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDIC AND NEUROLOGICAL REHABILITATION,INC
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Dates
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Enumeration Date | 11/08/2015
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Last Update Date | 11/08/2015
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Provider Practice Location Address
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Address Line | 2651 SAINT FRANCIS DR
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City | WATERLOO
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State | IA
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Zip | 50702-5442
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Country | US
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Telephone | 319-232-6808
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Fax |
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Provider Business Mailing Address
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Address Line | 2651 SAINT FRANCIS DR
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City | WATERLOO
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State | IA
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Zip | 50702-5442
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Country | US
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Telephone | 319-232-6808
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Fax |
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Authorized Official
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Title or Position | REGIONAL DIRECTOR OF REHABILIATION
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Name | MR. RYAN DODD
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Credential | DPT
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Telephone | 641-990-3956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 077050
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License Number State | IA
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